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1205195294
TIMOTHY R WALTERS
DULUTH, MN
NPI
1205195294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MN 01187)
Enumeration Date
2012-05-10
Last Update Date
2012-05-10
Business Address
-- TIMOTHY R WALTERS LPC
1401 E 1ST ST
DULUTH, MN 55805-2407
Phone number: 218-728-4491
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Mailing Address
-- TIMOTHY R WALTERS LPC
629 1ST AVE
TWO HARBORS, MN 55616-1505
Phone number: 218-834-5520
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